Individual
MICHAEL D. TINKELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG 000753
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01496301
BLUE CROSS IND
PA
01
—
02499800
BLUE CROSS GRP
PA
05
—
0546259
—
PA
Enumeration date
12/15/2005
Last updated
07/01/2020
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